PART III. 
MEDICARE SUPPLEMENT POLICIES



 



Attorney General Opinions



 



  Section 431:10A-601 applied to all parts of article 10A if
the category of policy under consideration included family coverage, as defined
in §431:10A-103.  Att. Gen. Op. 97-10.



 



§431:10A-301  Definitions.  For the
purposes of this part:



"Applicant" means:



(1)  In the case of an individual medicare supplement
policy, the person who seeks to contract for insurance benefits, and



(2)  In the case of a group medicare supplement
policy, the proposed certificate holder.



"Certificate" means any certificate
delivered or issued for delivery in this State under a group medicare
supplement policy.



"Certificate form" means the form on
which the certificate is delivered or issued for delivery by the issuer.



"Issuer" includes insurance
companies, fraternal benefit societies, health care service plans, health
maintenance organizations, and any other entity delivering or issuing for
delivery in this State medicare supplement policies or certificates.



"Medicare" means the Health Insurance
for the Aged Act, Title XVIII of the Social Security Amendments of 1965, as
then constituted or later amended.



"Medicare supplement policy" means a
group or individual policy of accident and health or sickness insurance or a
subscriber contract of hospital and medical service associations or health
maintenance organizations, other than a policy issued pursuant to a contract
under section 1876 of the federal Social Security Act (42 U.S.C. section 1395
et seq.), or an issued policy under a demonstration project specified in 42
U.S.C. section 1395ss(g)(1), which is advertised, marketed, or designed
primarily as a supplement to reimbursements under medicare for the hospital,
medical, or surgical expenses of persons eligible for medicare.



"Policy form" means the form on which
the policy is delivered or issued for delivery by the issuer. [L 1987, c 347,
pt of §2; am L 1989, c 195, §25; am L 1990, c 84, §1; am L 1992, c 195, §1; am
L 1996, c 28, §1; am L 2003, c 212, §78]